Heather Anne Tollander, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2551 Issued in OR

Practice address

10011 SE Division St
Suite 203
Portland, OR 97266-1351

Phone

(503) 255-2343

Fax

(503) 255-2344

NPI assigned

Aug 26, 2015

Last updated

Oct 7, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 2, 2023 through Feb 2, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest ADHD Treatment Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
  • NPI 1225459548

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1659748507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16308",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972920308",
            "telephone_number": "503-255-2343",
            "fax_number": "503-255-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 SE DIVISION ST",
            "address_2": "SUITE 203",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661351",
            "telephone_number": "503-255-2343",
            "fax_number": "503-255-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLANDER",
        "first_name": "HEATHER",
        "middle_name": "ANNE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lidice Toledo-Lopez
• Isabel Toledo-Silvestre, PMHNP
• Guadalupe Toledo, DO
• Kelcie-May S Toledo, PHARMD
• Stephanie Tolentino
• Susan Willis Tolle, MD
• Cory Tollefson
• Jessica Tolleson, M.A., LPC
• Courtney Renee Tolley
• Cammie Toloui, LMT

• Clinical Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.